While he has a strong interest in Robotic surgery, Dr Arianayagam still performs major open surgery. He has an interest in open kidney surgery, especially when there is invasion of the large veins in the abdomen. This is called IVC thrombectomy. Dr Arianayagam uses liver transplant techniques he learned while on fellowship in Miami. Mohan had the privilege of learning these skills from Dr Gaetano Ciancio, a transplant surgeon who worked closely with the Urology department. The procedures are particularly challenging as the tumour in the vein can extend all the way up to the heart. They are only performed at a few large centres due to the complexity of the surgery and the intensive care support that is required.
Dr Arianayagam also performs focal laser therapy for prostate cancer. This is a new and innovative technique where only the prostate cancer is treated, leaving the prostate in place. This is different for surgery or radiation where the whole gland is treated. The results appear to be very promising in the correct patients. Focal therapy reduces the risk of complications like incontinence and erectile dysfunction which may occur after radiation or surgery for prostate cancer. If you wish to see if you are suitable for focal therapy please make an appointment to see Dr Arianayagam.
Procedures performed:
- Radical nephrectomy (removal of the kidney)
- Partial nephrectomy (removal of part of the kidney)
- IVC thrombectomy (removal of kidney with tumour in the veins)
- Adrenalectomy (removal of adrenal gland)
- Radical cystectomy (removal of bladder)
- Neobladder urinary diversion (new bladder made from small bowel)
- Retroperitoneal lymph node dissection (removal of cancerous lymph nodes)
- Testicular cancer surgery
- Focal Laser Therapy for prostate cancer
Dr Arianayagam performing open surgery
